Cancellation Notice at a glance
What it is: The Cancellation Notice cancels the authorization to issue pre-authorized debits against the account of the Payor.
Who signs: Where the Payor's account agreement requires the signature of two or more signing authorities, the signatures of all such person are required.
A filled-in Cancellation Notice example: a payor cancels a debit
How to fill out Cancellation Notice, box by box
TO and DATE
In TO, write the Payee name.
In DATE, write the date.
Signed: Payor/Valid Signing Authority(ies)
Signature and Signature: the signatures of the Payor/Valid Signing Authority(ies) go under Signed.
More rules for Cancellation Notice
Enter the Payor name, the pre-authorized debits as Personal, Business, Funds Transfer or Cash Management, the amount, the account number and the date effective.
The Payor acknowledges that this cancellation does not terminate any other obligation that the Payor may have with the Payee.
The CPA cannot cancel a PAD Agreement. All cancellation requests must be submitted directly to the Payee with whom you have established a PAD Agreement.
It is advisable to notify the Payee in writing and keep a record of the cancellation request.
Common questions about Cancellation Notice
Where do I file it?
Subject to the terms of any agreement between a Payor and Payee including their Payor's PAD Agreement, a Cancellation Notice may be provided to a Payee by way of registered mail, telephone, Internet, e-mail, fax or prepaid courier and must be provided in compliance with the notice requirements for cancellations, if any, set out in the applicable Payor's PAD Agreement.
Sources
[1] Cancellation Notice (pre-authorized debits), no issuer file (the Official source link on this page).